Bx breast 1st lesion strtctc at MID-COLUMBIA MEDICAL CENTER

1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409

Source: hospital's published price file ↗ · Published May 13, 2026 · Ingested Sep 16, 2026

$2,399.52

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$4,999.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$134.73 with TRICARE - ALL OTHER PLANS vs $4,849.03 with AHP - AMERICAS HLTH PLAN - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
TRICARE - ALL OTHER PLANS TRICARE - ALL OTHER PLANS $134.73 ↓ -94%
VA CCN TRIWEST - ALL PLANS VA CCN TRIWEST - ALL PLANS $134.73 ↓ -94%
MOLINA MCR ADV MOLINA MCR ADV $134.73 ↓ -94%
COMMUNITY HP MCR ADV - ALL PLANS COMMUNITY HP MCR ADV - ALL PLANS $134.73 ↓ -94%
REGENCE BCBS VA TRIWEST REGENCE BCBS VA TRIWEST $134.73 ↓ -94%
REGENCE BCBS MCR ADV REGENCE BCBS MCR ADV $134.73 ↓ -94%
HEALTHNET MCR ADV HEALTHNET MCR ADV $137.42 ↓ -94%
MODA MCR ADV MODA MCR ADV $138.77 ↓ -94%
HUMANA - ALL PLANS HUMANA - ALL PLANS $138.77 ↓ -94%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $145.51 ↓ -94%
MOLINA - ALL OTHER PLANS MOLINA - ALL OTHER PLANS $148.20 ↓ -94%
EMPLOYEE HEALTH PLAN - ALL PLANS EMPLOYEE HEALTH PLAN - ALL PLANS $148.20 ↓ -94%
CIGNA - ALL PLANS CIGNA - ALL PLANS $225.67 ↓ -91%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $229.04 ↓ -90%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $231.36 ↓ -90%
AETNA - ALL PLANS AETNA - ALL PLANS $255.99 ↓ -89%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $298.84 ↓ -88%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $303.66 ↓ -87%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $313.30 ↓ -87%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $318.12 ↓ -87%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $333.21 ↓ -86%
MOLINA MCAID MOLINA MCAID $819.00 ↓ -66%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $1,575.00 ↓ -34%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $1,575.00 ↓ -34%
NOROCOR - ALL PLANS NOROCOR - ALL PLANS $2,499.50 ↑ +4%
UHC MEDICAID AND CHIP UHC MEDICAID AND CHIP $2,599.48 ↑ +8%
REGENCE BCBS HEALTHY OPTIONS MCAID REGENCE BCBS HEALTHY OPTIONS MCAID $3,119.38 ↑ +30%
HEALTHSCAPE - ALL PLANS HEALTHSCAPE - ALL PLANS $3,999.20 ↑ +67%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $4,249.15 ↑ +77%
PACIFIC SOURCE - ALL PLANS PACIFIC SOURCE - ALL PLANS $4,599.08 ↑ +92%
UHC MCR ADV UHC MCR ADV $4,749.05 ↑ +98%
TRPN - THREE RIVERS - ALL PLANS TRPN - THREE RIVERS - ALL PLANS $4,749.05 ↑ +98%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $4,749.05 ↑ +98%
AHP - AMERICAS HLTH PLAN - ALL PLANS AHP - AMERICAS HLTH PLAN - ALL PLANS $4,849.03 ↑ +102%

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Bx breast 1st lesion strtctc at other Oregon hospitals

Hospital City Cash price Negotiated range
Sunnyside Medical Center CLACKAMAS $3,976.30 not published
Westside Medical Center HILLSBORO $3,976.30 not published
Providence Hood River Memorial Hospital Hood River $5,474.25 not published
Providence Medford Medical Center Medford $5,805.00 $1,673.79 – $4,184.48
Providence Newberg Medical Center Newberg $5,205.75 $1,806.42 – $3,359.50
Providence Seaside Hospital Seaside $5,250.00 not published
Providence Willamette Falls Medical Center Oregon City $5,205.75 $1,806.42 – $17,193.00
Providence Milwaukie Hospital Milwaukie $5,205.75 $1,806.42 – $17,193.00

All Oregon hospitals for this procedure →